Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Penny Jean Peacock, MD

Individual provider Internal Medicine Physician · NPI 1902864762

Penny Jean Peacock, MD is an Internal Medicine in Park City, Utah. Graduated from University of Maryland School of Medicine in 1994, 32 years ago. Practices with Uintah Basin Medical Center, a 60-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
32
Trained at
University of Maryland School of Medicine
Licensed in
UT
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1612 Ute Blvd 205
Park City, UT 84098-7500
Phone: (435) 655-3309
Fax: (435) 655-3392
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 3764531205 (UT)
Pediatrics Physician Taxonomy 208000000X · Licence 3764531205 (UT)
Hospitalist Physician Taxonomy 208M00000X · Licence 3764531205 (UT)

Record details

NPI number1902864762
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 2, 2006
Last updated in NPPESMay 16, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Uintah Basin Medical Center — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Park City